Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 11962
Country/Region: Dominican Republic
Year: 2013
Main Partner: Heartland Alliance
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $500,000

Goal: To reduce the impact of HIV/AIDS on MSM and their sexual partners by strengthening local capacity to reach MSM at grassroots with key, high-quality HIV prevention and support services.

Objectives:

- Improve the organizational and technical capacity of grassroots MSM-focused organizations to ensure sustainable access to quality HIV services.

- Develop strong local infrastructure for the implementation of MSM-targeted programming beyond the life of this program.

- Reach MSM and their partners with appropriate prevention messages using a network of trained and supported Outreach Coordinators and Peer Educator volunteers.

- Develop service outlets and training outreach workers to provide MSM-sensitive community-based palliative care.

- Create an enabling policy environment by supporting the capacity of MSM organizations to advocate for MSM-friendly health policy, applying human rights principles to health policy development.

Geographic coverage & target population: CDC will continue to support its partner Heartland Alliance to implement evidence-based prevention programs for MSM living in Santo Domingo, Barahona and Santiago during FY 2013. This NGO will continue implementing their face to face interventions with Gay Men, Transgender and other MSM at gay-friendly meeting places.

Transition Strategy: Heartland Alliance will continue to provide administrative and programmatic capacity building to 10 sub partner NGOs and working on the development and strengthening of their organizational competences for policy change and advocacy. M&E: There will be continuous monitoring of program implementation and activities to track progress on achievement of objectives and targets. Information generated from this process will inform the program on the resources used an

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $500,000

In FY2013, CDC will continue to support evidence-based prevention programs, including STI services for MSMs living in Santo Domingo, Santiago and Barahona, and Transgenders in Santo Domingo.

CDC funded a formative evaluation targeting gay, transgender and MSM populations in 2011 with the goal to collect information that could complement existing data on MSM with the aim to tailor behavior change interventions to prevent HIV and other STIs. The evaluation also allowed us to explore the linkages between prevention and health care services for these groups and provide recommendations for their improvement. The report of this consultation will be used by Heartland Alliance and its sub-contractors to guide the development of prevention interventions targeting each relevant sub-group of MSM.

Heartland Alliance has sub-contracted 10 small local non-government organizations that are part of a network of organizations that work with gay, transgender and homosexual persons. Heartland Alliance will continue to provide administrative and programmatic capacity building to these NGOs and work on the development and strengthening of their organizational competences for policy change and advocacy. Through the work of these partners the USG aims to reduce the impact of STIs, HIV/AIDS, stigma and discrimination in this population while promoting safer sex practices and improving access to health care services for Gay Men, Transgendered persons and other MSM in Santo Domingo and Santiago in the Dominican Republic.

Activities include: face to face IEC interventions with Gay Men, Transgender and other MSM at gay-friendly meeting places including at some local universities and Integrated Care Service clinics (Servicios de Atención Integral SAI are clinics that offer HIV treatment and care services) in Santo Domingo, Santiago and Barahona; condoms and lubricants will also be distributed to persons participating in these meetings. In addition, these NGOs will work to identify Gay, Transgender or MSM with leadership potential for training and increasing awareness among peers and the increase awareness of the human right issues of this population with society as a whole through high-impact activities.

Cross Cutting Budget Categories and Known Amounts Total: $500,000
Human Resources for Health $100,000
Key Populations: MSM and TG $400,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Mobile Populations